BCS Late Admission Form AY2026

SCHOOL LATE APPLICATION FORM
Personal Details
Are you applying for a place in:*

1st Year Mainstream1st Year Deaf Facility
Student First Name*
Student Surname*
Date of Birth*
PPSN (must be supplied to process form)
Gender*

MaleFemale

3. FAMILY DETAILS

Parent / Guardian 1 will automatically receive text messages about the student's attendance
Parent/ Guardian 1 Surname:*
Parent/ Guardian 1 First Name:*
Relationship to Child:*
For example: Mother/ Father/ Guardian etc
Parent/ Guardian 1 Mobile Number*
Please enter a valid phone number.
Parent/ Guardian 1 Contact Email Address*
example@example.com
Postal Address:
If different from student's address
Parent/ Guardian 2 Surname:
Parent/ Guardian 2 First Name:
Relationship to Child:
For example: Mother/ Father/ Guardian etc
Parent/ Guardian 2 Mobile Number
Please enter a valid phone number.
Parent/ Guardian 2 Contact Email Address
example@example.com
Postal Address:
If different from student's address
Emergency Contact Name:*
Emergency Contact Relationship to Student*
Emergency Contact Mobile Number*
If there are any Access/ Custody arrangements in relation to this student please give details below:

You can leave this section blank if this does not apply to you.
Name of Adult:
Relationship to Student:
Address:
Contact Number
Please enter a valid phone number.
Number of children in student's family:*
Students birth order in the family (1ˢᵗ, 2ⁿᵈ, 3rd etc):*
Does the student have any Brothers/ Sisters currently attending this school?*
Please enter details of first sibling only. Give Name, Age, Year in School
Does the student have any Brothers/ Sisters currently attending this school?
Please enter details of second sibling only. Give Name, Age, Year in School
Does the student have any Brothers/ Sisters currently attending this school?
Please enter details of third sibling only. Give Name, Age, Year in School
Does the student have any family member who previously attended this school?*
Please give details here:
Medical Details
Does your child have any Serious Illness or Chronic condition?*

YesNo
Is your child on any ongoing Medical Treatment?*

YesNo
Has your child any allergies?*

YesNo
Please upload a document outlinging your child's medical needs and details of any procedures to be followed for their medical need:

Cancelof
GP Name, Address & Contact Number:*

5. ADDITIONAL INFORMATION FROM PARENTS
What subjects are your son / daughter performing well at in school?*
What are your hopes and aspirations for your child during their time in Bishopstown Community School?*
How important do you think parental involvement is in your child's education?*
Code of Behaviour & Photo Consent
We understand, accept and agree to the aims and rules of the school as stated in the school’s Admission Policy and stated in the Code of Behaviour.

A copy of the Code of Behaviour can be found on www.bishopstowncs.ie or from the school office.
Signature of Student:*

Clear
Signature of Parent/ Guardian 1:*

Clear
Signature of Parent/ Guardian 2:

Clear
Date

DayMonthYear
Date
Do you consent to your child's image being used for the purposes above?*

I consentI do not consent
Declaration

I declare that all of the above information is true & correct:
Signature*

Clear
PRINT NAME:*
Date

DayMonthYear
Date
Should be Empty:

SCHOOL LATE APPLICATION FORM

Personal Details

Educational Details

3. FAMILY DETAILS

If there are any Access/ Custody arrangements in relation to this student please give details below:

Medical Details

5. ADDITIONAL INFORMATION FROM PARENTS

Code of Behaviour & Photo Consent

Declaration